Lyons, Hernando
Lyons, Hernando is an individual health care provider with primary practice located at 22201 Moross Rd 270, Detroit MI 48236-2169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Lyons, Hernando can be contacted via phone (313) 343-3481.Contact Information
Primary practice address
22201 Moross Rd 270
Detroit MI 48236-2169
Phone: (313) 343-3481
Fax: (313) 343-7937
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 4301056892 | Michigan |
Profile Details
NPI number | 1245224906 |
---|---|
LBN Legal business name | Lyons, Hernando |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 8th, 2005 |
Last updated | Jul 13th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245224906 | NPPES |
Michigan | MEDICAID | 2820015 |
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